- The machine components can also be logically conceptualized by the amount of pneumatic pressure they are exposed to:
- The High-pressure circuit consists of those parts which receive gas at cylinder pressure
- hanger yoke (including filter and unidirectional valve)
- yoke block
- cylinder pressure gauge
- cylinder pressure regulators
- The Intermediate pressure circuit receives gases at low, relatively constant pressures (37-55 psi, which is pipeline pressure, or the pressure downstream of a cylinder regulator)
- pipeline inlets and pressure gauges
- ventilator power inlet
- Oxygen pressure-failure device (fail-safe) and alarm
- flowmeter valves
- oxygen and nitrous oxide second-stage regulators
- oxygen flush valve
- The Low-pressure circuit includes components distal to the flowmeter needle
- valves
- flowmeter tubes
- vaporizers
- check valves (if present)
- common gas outlet
Driving Pressure and Survival in the Acute Respiratory Distress Syndrome Marcelo B.P. Amato, M.D., Maureen O. Meade, M.D., Arthur S. Slutsky, M.D., Laurent Brochard, M.D., Eduardo L.V. Costa, M.D., David A. Schoenfeld, Ph.D., Thomas E. Stewart, M.D., Matthias Briel, M.D., Daniel Talmor, M.D., M.P.H., Alain Mercat, M.D., Jean-Christophe M. Richard, M.D., Carlos R.R. Carvalho, M.D., and Roy G. Brower, M.D. N Engl J Med 2015; 372:747-755 February 19, 2015 DOI: 10.1056/NEJMsa1410639 BACKGROUND Mechanical-ventilation strategies that use lower end-inspiratory (plateau) airway pressures, lower tidal volumes (V T ), and higher positive end-expiratory pressures (PEEPs) can improve survival in patients with the acute respiratory distress syndrome (ARDS), but the relative importance of each of these components is uncertain. Because respiratory-system compliance (C RS ) is strongly related to the volume of aerated remaining functional lung during disease (termed functional lung size)...
nice
ReplyDeleteI like the valuable info you provide on your articles. I’ll bookmark your blog and check again right here regularly. I’m quite certain I will be informed a lot of new stuff right here! Good luck for the next!Gas Flow Meter: GFM100.
ReplyDeleteA standard question is: What is the pressure in the low pressure circuit?
ReplyDeleteWhat's your take on this ?
SK
~ 14-16 psig...
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ReplyDelete